A Case of Gastric Lipoma with Hemorrhagic Ulcer, which Grew Up during Two Years Follow Up Period

Hiromichi Yamai, Nobumasa Hamaguchi*, Youta Yamamoto*, Kazuhisa Onishi*, Nobuyuki Tanida*, Noriaki Fujishima*, Nobuyuki Kaihatsu*, Atsushi Umemoto and Akira Tangoku

Department of Oncological and Regenerative Surgery, Institute of Health Bioscience, University of Tokushima
Department of Surgery, Kochi Red Cross Hospital*

We report a rare case of gastric lipoma with hemorrhagic ulcer. A 55-year-old man admitted for further examination of an abnormal shadow in a routine upper gastrointestinal (GI) tract series was found in endoscopic examination to have a 3 cm semipedunculated submucosal tumor on the anterior wall of the lower gastric body. Endoscopic ultrasonography showed a soft homogenous hyperechoic mass limited to the third layer, and diagnosed as gastric lipoma. We suggested that he have a check up every six months, but he did not follow through. Two years later, he was readmitted for dyspnea and found in endoscopic examination to have a 5 cm semipedunculated submucosal tumor with an ulcer on the anterior wall of the lower gastric body. CT showed a 5 cm low-attenuation mass in the lower gastric body composed of fat. We performed partial gastrectomy. Gastric lipoma with hemorrhagic ulcer formation during follow-up is rare, and only six cases have, to our knowledge, been reported in Japan.

Key words
gastric lipoma, submucosal tumor, partial gastrectomy

Reprint requests
Hiromichi Yamai Department of Oncological and Regenerative Surgery, School of Medicine, University of Tokushima
3-18-15 Kuramotocho, Tokushima, 770-8503 JAPAN

Accepted
September 27, 2006

To read the PDF file you will need Abobe Reader installed on your computer.